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General NPI Number Information
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NPI Number | 1952409740
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Entity Type | Organization
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Legal Business Name | CHARLES BLAND,S.C.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 180 CEDAR FALLS RD
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City | MENOMONIE
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State | WI
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Zip | 54751-1268
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Country | US
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Telephone | 715-235-5084
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Fax | 715-235-5097
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Provider Business Mailing Address
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Address Line | N7962 480TH ST
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City | MENOMONIE
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State | WI
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Zip | 54751-5832
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Country | US
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Telephone | 715-556-3308
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Fax | 715-235-5097
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHARLES LEE BLAND
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Credential | O.D.
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Telephone | 715-556-3308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2536-035
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License Number State | WI
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